Thomas Gregory Santarossa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13006 Issued in MI

Practice address

7210 N Main St
Suite 104
Clarkston, MI 48346-1575

Phone

(248) 620-9010

Fax

(248) 620-0433

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas G. Santarossa DDS PC

  • Dentist
  • Clarkston, MI
  • NPI 1881644243
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700955788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461575",
            "telephone_number": "248-620-9010",
            "fax_number": "248-620-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MAIN ST",
            "address_2": "SUITE 104",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461575",
            "telephone_number": "248-620-9010",
            "fax_number": "248-620-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAROSSA",
        "first_name": "THOMAS",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Sampson, LMSW
• Antonia J Sanchez-Murphy, MA,LLP
• Vickee Sand, RRT
• Michelle Sanders
• Ethan Anthony Santana
• Anthony Santilli, LLMSW
• Amanda Regina Santos
• Ravija Nayana Santoyo
• Anthony Saracino
• Sardelli Orthopaedics PLLC

• General Practice Dentistry in Clarkston, MI
• Providers in Clarkston, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.